Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $887.53 / $13,750.00	Facility		$85.72	$887.53	$13,750.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,131.64 / $6,131.64 / $6,794.90	Facility	50	$6,131.64	$6,131.64	$6,794.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $248.05 / $532.32	Professional		$47.13	$248.05	$532.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $445.00 / $445.00	Facility		$55.00	$445.00	$445.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $457.51 / $2,278.06	Professional		$79.70	$457.51	$2,278.06
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $111.24 / $460.29 / $849.85	Professional	50	$111.24	$460.29	$849.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $248.54 / $757.25	Professional		$60.30	$248.54	$757.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $287.99 / $817.98	Facility		$63.77	$287.99	$817.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $280.27 / $812.70	Professional		$66.23	$280.27	$812.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $379.39 / $641.52	Professional		$63.57	$379.39	$641.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.29 / $474.18 / $611.04	Facility		$339.29	$474.18	$611.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.84 / $341.84 / $359.68	Facility		$341.84	$341.84	$359.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $293.81 / $701.10	Professional		$82.97	$293.81	$701.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $173.24 / $639.71	Professional		$84.23	$173.24	$639.71
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.31 / $525.48 / $812.63	Professional		$321.31	$525.48	$812.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $277.58	Professional		$47.91	$47.91	$277.58